In
Alexander v. Becerra,
a federal court found that certain beneficiaries must be allowed to appeal to
Medicare when their hospitalizations are reclassified from “inpatient” to
“outpatient receiving observation services.” The Center for Medicare Advocacy,
Justice in Aging, and pro bono
firm Wilson Sonsini Goodrich & Rosati represent the class of Medicare
beneficiaries in the case. As part of the implementation process, class counsel
and the government recently asked the court to clarify how Medicare can address
certain retrospective claims. The parties proposed this clarification in the
interest of facilitating and streamlining the retrospective appeals process
ordered by the court, and reducing administrative burden. The court ordered the
parties to notify class members of the proposed clarification. If class members
have any questions or comments about the proposed clarification, please contact
class counsel by November 25, 2022. The proposed clarification and instructions
for contacting class counsel can be found in the link below.
To be a Medicare Agent's source of information on topics affecting the agent and their business, and most importantly, their clientele, is the intention of this site. Sourced from various means rooted in the health insurance industry - insurance carriers, governmental agencies, and industry news agencies, this is aimed as a resource of varying viewpoints to spark critical thought and discussion. We welcome your contributions.
Tuesday, April 18, 2023
Notice to the Class of a Proposed Clarification in Hospital “Observation Status” Case
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